20005 Automatic Irrigation City of f Carmel I INDIANA RETAIL TAX 015500 EXEMPT PAGE /
11Lr CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT ao�c-.
35-60000972 �-C./d
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
- �/- aV /V /- aV /V 4035- �o� SER.0;ce / •
/-morn &. fie/;_fActr;oKJ &za oe P f/J
VENDOR /1 /0 SfA014.)1a0--) pZ.-• SHIP 42/02o /32CCJCS -/ -e
Rth y
TO
•
F$g " , 44036 &Rikel, -, ) 76033
CONFIRMATION BLANKET CONTRACT,- PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
/ 610,1y=7-1 S&e e` -1)/ -;)o/g
0 .flfflllr�lll
. � � ' Nom :
•
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... lie :: :i3too/(5,�1;2E 6°/I) &/L�! J1lffNIf1)J� ,
/02/2o i2tc_S-1:beec ?tat
eiQe/nt/ t t/(45-7 ,30/4
PLEASE INVOICE IN DUPLICATE
DEPARTMENT / ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
L
1020 / /1$O9oo PAYMENT-
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
' NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBYICERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ..ff
SHIPPING LABELS. / . 1s_c� 1 '.,
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �T / �.�y(JW�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 J 0 0 5 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY